关怀成年癌症患者的澳洲肿瘤护士的同情疲劳：前因、影响与中介

IF 3.8 3区医学 Q1 NURSING

Journal of Advanced Nursing Pub Date : 2025-01-10 DOI:10.1111/jan.16733

Janneka Banks, Violeta Lopez, Deependra Kaji Thapa, Ashlyn Sahay, Michelle Cleary

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引用次数: 0

摘要

目的探讨澳大利亚肿瘤科护士在护理成年癌症患者时如何感知和体验同情疲劳，他们如何减轻同情疲劳，并确定潜在的干预措施来解决同情疲劳。设计一种定性的描述性研究。方法于2023年8月至9月对20名护理成年癌症患者的澳大利亚肿瘤科护士进行访谈。参与者是从一个更大的定量研究中招募的。访谈以虚拟方式进行，逐字记录，并采用专题分析进行分析。结果确定了3个主题和9个子主题。参与者认为，繁重的工作量、人手不足和组织支持是导致同情疲劳的因素。他们将同情疲劳描述为一种没有什么可以给予的感觉，影响了他们自我照顾、提供高质量的病人护理和维持关系的能力。参与者在癌症护理工作中感受到的自豪感有助于缓解同情疲劳。自我照顾策略、工作场所指导和支持被确定为减轻同情疲劳的方法。结论肿瘤护士的工作可能导致同情疲劳，影响护士和患者的护理。组织将受益于支持员工参与自我护理活动、专业发展和指导。对专业研究结果的影响支持多层次的方法来解决肿瘤护士的同情疲劳。组织可以优先考虑适当的人员配备水平、指导机会、集中的福祉干预措施，并提供有意义的认可途径。报告方法本研究遵循COREQ报告指南。病人或公众捐款：没有病人或公众捐款。

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Compassion Fatigue Among Australian Oncology Nurses Caring for Adult Cancer Patients: Antecedents, Impact and Mediators

AimsTo explore how Australian oncology nurses perceive and experience compassion fatigue when caring for adult cancer patients, how they mitigate compassion fatigue and identify potential interventions to address compassion fatigue.DesignA qualitative, descriptive study.MethodsTwenty Australian oncology nurses caring for adult cancer patients were interviewed between August and September 2023. Participants were recruited from a larger, quantitative study. Interviews were conducted virtually, transcribed verbatim and analysed using thematic analysis.ResultsThree themes and nine sub‐themes were identified. Participants viewed heavy workloads, low staffing and organisational support as contributing factors to compassion fatigue. They described compassion fatigue as a feeling of having nothing left to give, impacting their ability to self‐care, deliver quality patient care and maintain relationships. The pride participants felt in their cancer care work helped mitigate compassion fatigue. Self‐care strategies, workplace mentoring and support were identified as ways to mitigate compassion fatigue.ConclusionThe work of oncology nurses can contribute to compassion fatigue, which may impact nurses and patient care. Organisations would benefit from supporting staff to engage in self‐care activities, professional development and mentoring.Implications for ProfessionalFindings support a multi‐tiered approach to addressing compassion fatigue among oncology nurses. Organisations can prioritise adequate staffing levels, mentoring opportunities, focused well‐being interventions and provide avenues for meaningful recognition.Reporting MethodThis study adheres to the COREQ reporting guidelines.Patient or Public ContributionNo patient or public contribution.

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来源期刊

Journal of Advanced Nursing 医学-护理

CiteScore

6.40

自引率

7.90%

发文量

369

审稿时长

3 months

期刊介绍： The Journal of Advanced Nursing (JAN) contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. All JAN papers are required to have a sound scientific, evidential, theoretical or philosophical base and to be critical, questioning and scholarly in approach. As an international journal, JAN promotes diversity of research and scholarship in terms of culture, paradigm and healthcare context. For JAN’s worldwide readership, authors are expected to make clear the wider international relevance of their work and to demonstrate sensitivity to cultural considerations and differences.